European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain COMPLICATION CASES Unexpected Global Dissection Author: Jorge Palazuelos Molinero, MD, PhD, Prof A. CASE REPORT. INDEX ANGIOGRAPHY Female, 70 yo. HTN. Referred to cath lab for chest pain with posi1ve exercise test CONCLUSION Keep calm Patient care Step by step approach:    1. expert operator supervision       2. Adequate material Be aware of deep intuba1on, extensor catheters and mechanical contrast injections